Individual provider · Type 1 NPI

Qumarah S. Jackson, CASAC

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1790969376 Active

Practice location

202 Flatbush Ave
Brooklyn, NY 11217-2177

Call (718) 398-0800 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18344 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790969376

Qumarah S. Jackson, CASAC's National Provider Identifier is 1790969376, issued on Dec 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on May 11, 2010.